MRS. SHANNON LOUISE RUSSELL


Address: 12611 Hymeadow Dr., Austin, TX 78729
Phone: 5129960441

MRS. SHANNON LOUISE RUSSELL (NPI# 1346647351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346647351
Entity Type Individual
Full Name MRS. SHANNON LOUISE RUSSELL
Credential PT, DPT
Practice Address 12611 Hymeadow Dr.
Austin
TX 78729
Mailing Address P.o Box 170040
Austin
TX 78717
Practice Telephone 5129960441
Practice Fax Number 5129960442
Mailing Telephone 5129960441
Mailing Fax Number 5129960442
Enumeration Date 2014-11-20
Last Update Date 2014-11-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
1233729 TX Ambulatory Health Care Facilities

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1578923793 Shannon Russell Developmental Therapist 500 Fairway Dr Ste 120, Deerfield Beach, FL 33441-1814 2016-03-01
1366858557 Shannon Rebecca Russell Social Worker 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 2014-07-08
1770705311 Shannon Russell Dentist 2720 Highway 4, Arnold, CA 95223 2007-05-03
1790250504 Shannon Russell Case Manager/Care Coordinator 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 2018-10-08
1790273647 Shannon D Russell Social Worker 1406 Main St, East Hartford, CT 06108-1684 2018-04-26
1437510005 Shannon Russell Behavioral Analyst 1519 Baxter Ave, Louisville, KY 40205-1008 2016-03-10
1780061697 Shannon Raye Russell Occupational Therapist 1515 Holcombe Blvd, Unit 98, Houston, TX 77030 2015-04-29
1265833909 Shannon Russell Nurse Practitioner 1001 E Primrose St, Springfield, MO 65807-5155 2014-09-12

Office Location

Street Address 12611 HYMEADOW DR.
City AUSTIN
State TX
Zip Code 78729

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225512601 Generation Able Case Management 8100 W Anderson Mill Rd Apt 3102, Austin, TX 78729 2018-09-20
1952726754 Noah S Garcia Counselor 9414 Anderson Mill Rd Ste 204, Austin, TX 78729 2014-03-03
1841458379 Christopher Stansbury Pllc Dentist 10119 Lake Creek Parkway, Suite #1, Austin, TX 78729 2008-05-31
1073771549 Amanda Ramirez Counselor 13625 Pond Springs Rd Ste 108, Austin, TX 78729 2008-05-30
1871797928 Rebecca Box Davis Dentist 10125 Lake Creek Pkwy, Austin, TX 78729 2007-06-13
1124249610 Judy Norea Cardinale Social Worker 13625 Pond Springs, Ste. 101, Austin, TX 78729 2007-05-01
1144348368 Don Davis Dentist 10125 Lake Creek Pkwy., Austin, TX 78729 2007-03-26
1730251513 Scooters To Go Austin, LLC Durable Medical Equipment & Medical Supplies 13170 G Pond Springs Road, #10, Austin, TX 78729 2006-11-15
1295846913 Paul Marvin Lounsberry Jr. Dentist 9000 Anderson Mill Rd, Austin, TX 78729 2006-08-31
1396755104 Diana S Bustelo Physical Therapist 12304 Boneta Cv, Austin, TX 78729 2006-08-08
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023633518 At Home Telehealth Pt, Pllc Clinic/Center 12815 Woodmere St, Austin, TX 78729-4555 2020-06-10
1508407974 Valerie Benjamin Clinic/Center 5401 La Crosse Ave Bldg C101, Austin, TX 78739-2159 2019-10-07
1326527458 Resilientrx Clinic/Center 4820 Twin Valley Dr, Austin, TX 78731-3539 2018-08-09
1568953230 Resolution Manual Therapy, Pllc Clinic/Center 8901 Ravello Pass, Austin, TX 78749-4959 2018-05-29
1639604218 Natural Fit Therapy Pllc Clinic/Center 13740 Research Blvd Ste V3, Austin, TX 78750-1841 2017-04-20
1417488875 Agilitas Usa, Inc Clinic/Center 1600 W 38th St Ste 132, Austin, TX 78731-6404 2017-03-27
1255874871 Retrofit Performance Training LLC Clinic/Center 720 Airport Blvd, Trlr 71, Austin, TX 78702-4107 2016-11-30
1437607884 Agilitas Usa Inc. Clinic/Center 500 Canyon Ridge Dr Ste B150, Austin, TX 78753-1689 2016-09-14
1962877043 Cancer Rehab Austin Clinic/Center 1517 W Koenig Ln Bldg A, Austin, TX 78756-1415 2015-12-01
1154730091 Diane Hodges Popps Clinic/Center 6911 Rr 620 N Ste B, Austin, TX 78732-1920 2014-08-05
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Competitor

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City AUSTIN
Zip Code 78729

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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